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Variable Interest Entities (VIEs) - Eliminated Upon Consolidation Included In Accompanying Consolidated Balance Sheets (Details) - USD ($) | Dec. 31, 2019 | Jan. 01, 2019 | Dec. 31, 2018 | Dec. 31, 2017 | Dec. 08, 2017
--- | --- | --- | --- | --- | ---
Current assets |  |  |  |  |
Cash and cash equivalents | $ 103,189,328 |  | $ 106,891,503 | $ 99,749,199 |
Restricted cash – short-term | 75,000 |  | 0 |  |
Investment in marketable securities | 116,538,673 |  | 1,127,102 |  |
Receivables, net | 11,003,563 |  | 7,734,631 |  |
Receivables, net – related party | 48,136,313 |  | 48,721,325 |  |
Other receivables | 16,885,448 |  | 1,003,133 |  |
Prepaid expenses and other current assets | 10,315,093 |  | 7,385,098 |  |
Loans receivable | 6,425,000 |  | 0 |  |
Loans receivable - related parties | 16,500,000 |  | 0 |  |
Total current assets | 329,068,418 |  | 172,862,792 |  |
Noncurrent assets |  |  |  |  |
Land, property and equipment, net |  |  | 12,721,082 |  |
Intangible assets, net | 103,011,849 |  | 86,875,883 |  |
Goodwill | 238,505,204 |  | 185,805,880 | 189,847,202 | $ 86,197,395
Loans receivable – related parties | 0 |  | 17,500,000 |  |
Investments in other entities – equity method | 28,427,455 |  | 34,876,980 |  |
Restricted cash | 746,104 |  | 745,470 |  |
Operating lease right-of-use assets | 14,247,727 | $ 9,000,000 |  |  |
Other assets | 1,680,689 |  | 1,205,962 |  |
Total noncurrent assets | 399,644,929 |  | 340,136,257 |  |
Total assets | 728,713,347 |  | 512,999,049 |  |
Current liabilities |  |  |  |  |
Accounts payable and accrued expenses | 27,279,579 |  | 25,075,489 |  |
Fiduciary accounts payable | 2,027,081 |  | 1,538,598 |  |
Medical liabilities | 58,724,682 |  | 33,641,701 | $ 63,972,318 |
Dividend payable | 271,279 |  | 0 |  |
Bank loan, short-term | 0 |  | 40,257 |  |
Finance lease liabilities | 101,741 |  | 101,741 |  |
Operating lease liabilities | 2,990,686 |  |  |  |
Total current liabilities | 105,423,915 |  | 72,019,647 |  |
Noncurrent liabilities |  |  |  |  |
Deferred tax liability | 18,269,448 |  | 19,615,935 |  |
Liability for unissued equity shares | 0 |  | 1,185,025 |  |
Finance lease liabilities, net of current portion | 415,519 |  |  |  |
Operating lease liabilities, net of current portion | 11,372,597 |  |  |  |
Total noncurrent liabilities | 262,229,698 |  | 34,318,221 |  |
Total liabilities | 367,653,613 |  | 106,337,868 |  |
Variable Interest Entity, Primary Beneficiary |  |  |  |  |
Current assets |  |  |  |  |
Cash and cash equivalents | 87,110,226 |  | 71,726,342 |  |
Restricted cash – short-term | 75,000 |  | 0 |  |
Investment in marketable securities | 123,948,391 |  | 1,066,103 |  |
Receivables, net | 9,300,076 |  | 4,512,000 |  |
Receivables, net – related party | 42,976,262 |  | 44,651,502 |  |
Other receivables | 743,757 |  | 0 |  |
Prepaid expenses and other current assets | 7,403,057 |  | 3,647,654 |  |
Loans receivable | 6,425,000 |  | 0 |  |
Loans receivable - related parties | 16,500,000 |  | 0 |  |
Total current assets | 294,481,769 |  | 125,603,601 |  |
Noncurrent assets |  |  |  |  |
Land, property and equipment, net | 9,546,924 |  | 9,602,228 |  |
Intangible assets, net | 81,439,224 |  | 58,984,420 |  |
Goodwill | 108,912,763 |  | 56,213,450 |  |
Loans receivable – related parties | 0 |  | 12,500,000 |  |
Investments in other entities – equity method | 28,486,593 |  | 26,707,404 |  |
Investment in privately held entities | 4,725,000 |  | 4,725,000 |  |
Restricted cash | 746,104 |  | 745,470 |  |
Operating lease right-of-use assets | 4,750,944 |  |  |  |
Other assets | 1,056,828 |  | 839,085 |  |
Total noncurrent assets | 239,664,380 |  | 170,317,057 |  |
Total assets | 534,146,149 |  | 295,920,658 |  |
Current liabilities |  |  |  |  |
Accounts payable and accrued expenses | 11,186,808 |  | 6,378,751 |  |
Fiduciary accounts payable | 2,027,081 |  | 1,538,598 |  |
Medical liabilities | 49,019,200 |  | 24,983,110 |  |
Income taxes payable | 4,529,667 |  | 11,621,861 |  |
Dividend payable | 271,279 |  | 0 |  |
Amount due to affiliate | 28,057,793 |  | 11,505,680 |  |
Bank loan, short-term | 0 |  | 40,257 |  |
Finance lease liabilities | 101,741 |  | 101,741 |  |
Operating lease liabilities | 1,088,260 |  |  |  |
Total current liabilities | 96,281,829 |  | 56,169,998 |  |
Noncurrent liabilities |  |  |  |  |
Deferred tax liability | 14,058,528 |  | 15,693,159 |  |
Liability for unissued equity shares | 0 |  | 1,185,025 |  |
Finance lease liabilities, net of current portion | 415,519 |  | 517,261 |  |
Operating lease liabilities, net of current portion | 3,741,811 |  |  |  |
Total noncurrent liabilities | 18,215,858 |  | 17,395,445 |  |
Total liabilities | $ 114,497,687 |  | $ 73,565,443 |  |

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